Oklahoma American Indian Mental Health and Substance Abuse Grant Resource Guide

OKLAHOMA AMERICAN INDIAN MENTAL HEALTH & SUBSTANCE ABUSE GRANT RESOURCE GUIDE

Table of Contents Methamphetamine and Suicide Prevention Initiative (MSPI)

1-2

Native Connections

3-4

Strategic Prevention Framework Partnership for Success (SPF-PFS)

5-6

Strategic Prevention Framework for Prescription Drugs (SPF-Rx) Tribal Opioid Response (TOR)

7-8 9-10

First Responders-Comprehensive Addiction and Recovery Act (FR-CARA)

11

Medication-Assisted Treatment – Prescription Drug and Opioid Addiction

12

Community Action Network (CAN)-Prescription Drug Project

13

Screening Brief Intervention Referral to Treatment (SBIRT)

14

State/Tribal Youth Suicide Prevention Cooperative Agreements-Prevention and Public Health Fund (PPHF)

15

Zero Suicide

16

Garrett Lee Smith Tribal Youth Suicide Prevention and Early Intervention Grant Program

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Garrett Lee Smith Campus Suicide

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HIV Capacity Building Initiative (HIV CBI)

19-20

Targeted Capacity Expansion-HIV Program: Substance Use Disorder Treatment for Racial/Ethnic Minority Populations at High Risk for HIV/AIDS (TCE-HIV: High-Risk Populations)

21-22

State Youth Treatment-Planning (SYT-P)

23-24

State Youth Treatment-Implementation (SYI-I)

25-26

Enhancement and Expansion of Treatment and Recovery Services for Adolescents, Transitional Aged Youth, and their Families (Youth and Family Tree)

27-28

Drug Free Communities (DFC)

29-30

Linking Actions for Unmet Needs in Children’s Health in American Indian and Alaska Native Communities, U.S. Territories, and Pacific Jurisdictions Cooperative Agreements (Indigenous Project LAUNCH)

31-32

National Child Traumatic Stress Initiative (NCTSI) – Category III Community Treatment and Services (CTS) Centers

33-34

References

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INTRODUCTION This report provides an overview of ongoing grant programs for substance abuse and mental health for the American Indian/Alaska Native (AI/AN) people living in the state of Oklahoma.

METHAMPHETAMINE AND SUICIDE PREVENTION INITIATIVE (MSPI)

The Methamphetamine and Suicide Prevention Initiative (MSPI) program is a nationally coordinated grant program that awards substance abuse, suicide prevention and intervention resources to Indian Health Services (IHS)-funded facilities (i.e., the entity including an Indian Tribe or a Tribal Organization that operates the facility). Grantee programs must address at least one of the following four purpose areas: (1) community needs assessment and strategic planning; (2) suicide prevention,

intervention, and postvention; (3) methamphetamine prevention, treatment, and aftercare; and (4) Generation Indigenous (Gen-I Initiative) support.

Programs operate within a five-year period, and 128 MSPI programs were selected for the 2015 through 2020 program cycle. IHS collects data from the grantee programs in conjunction with tribal and urban epidemiology centers, the National Indian Health Board, and the National Council of Urban Indian Health. In the Fiscal Year (FY)

RECIPIENTS ■ Cherokee Nation

■ Iowa Tribe of Oklahoma

■ Chickasavw Nation

■ Kickapoo Tribe of Oklahoma

■ Choctaw Nation

■ Kiowa Tribe

■ Citizen Potawatomi Nation

■ Muscogee Creek Nation Purpose Area 2

■ Eastern Shawnee Tribe ■ Indian Health Care Resource Center of Tulsa

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■ Muscogee Creek Nation Purpose Area 3

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2016, MSPI and Gen-I Initiative supported a new MSPI grantee cycle that made funds available to both new applicants and current MSPI grantees. These grants were awarded to help support the overarching goals of the MSPI and Gen-I Initiative by implementing early intervention strategies and youth development programming that seek to reduce risk factors for substance abuse and suicidal behavior. If awarded a grant, new applicants are required to implement evidencebased approaches to promote

development and self-sufficiency among AI/AN youth, promote family engagement, increase access to culturally appropriate substance use and suicide prevention activities for youth, and hire behavioral health staff specializing in child, adolescent, and family services.1

■ Northeastern Tribal Health System ■ Oklahoma City Indian Clinic ■ Otoe-Missouria Tribe ■ Ponca Tribe of Oklahoma ■ Wyandottte Nation

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NATIVE CONNECTIONS

The Native Connections program, also called Tribal Behavioral Health Grants, supports tribes, tribal organizations, and tribes/ tribal organization consortia (without competition from other entities) in their efforts to promote mental health and reduce substance abuse and suicidal behavior among AI/AN youth (aged 24 or younger).

Grantees are required to assess their current behavioral health resources; identify and address gaps using

established strategies; and develop the infrastructure to collect data on suicide attempts, deaths, and substance abuse data in conjunction with the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Tribal Training and Technical Assistance Center.

Grantees must also collaborate with public and private partners, such as those managing foster care and juvenile justice.

Grantees may use funds on follow-up care and support services for young community members who abuse substances or have attempted suicide.1

RECIPIENTS ■ Absentee Shawnee Tribe ■ Central Oklahoma American Indian Health Council Inc. ■ Cherokee Nation ■ Cheyenne and Arapaho Tribes ■ Choctaw Nation

■ College of the Muscogee Nation ■ Comanche Nation ■ Eastern Shawnee Tribe ■ Kickapoo Tribe of Oklahoma ■ Kiowa Tribe ■ Muscogee Creek Nation

■ Citizen Potawatomi Nation

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■ National Indian Women’s Health Resources Center ■ Osage Nation ■ Ponca Tribe of Oklahoma ■ Quapaw Tribe of Oklahoma ■ Sac and Fox Nation ■ Wichita and Affiliated Tribes

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STRATEGIC PREVENTION FRAMEWORK PARTNERSHIPS FOR SUCCESS (SPF-PFS)

The purpose of this program is to address one of the nation’s top substance abuse prevention priorities: underage drinking among persons ages nine to twenty. At their discretion, states/tribes may also use grant funds to target up to two additional data-driven substance abuse prevention priorities, such as the use of marijuana, cocaine, methamphetamine, etc. by individuals ages nine and above. The SPF-PFS program is designed to ensure that prevention strategies and messages reach the populations most impacted by substance abuse.

The program extends current established cross-agency and community-level partnerships by connecting substance abuse prevention programming to departments of social services and their community service providers. This includes working with populations disproportionately impacted by the consequences of substance use, i.e., children entering the foster care system, transitional youth, and individuals that support persons with substance abuse issues (women, families, parents, caregivers, and young adults).2

RECIPIENTS ■ Absentee Shawnee Tribe

■ Chickasaw Nation

■ Association of American Indian Physicians

■ Cheyenne and Arapho Tribes

■ Cherokee Nation

■ Muscogoee Creek Nation ■ Osage Nation

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STRATEGIC PREVENTION FRAMEWORK FOR PRESCRIPTION DRUGS (SPF-Rx)

The SPF Rx grant program provides an opportunity for states, U.S. territories, Pacific jurisdictions (herein referred to as “states”), and tribal entities that have completed a Strategic Prevention Framework State Incentive Grant (SPF SIG) to target the priority issue of prescription drug misuse. The program is designed to raise awareness about the dangers of sharing medications and work with pharmaceutical and medical communities on the risks of overprescribing to young adults. SPF Rx will also raise community awareness and bring prescription-drugabuse-prevention activities and education to schools, communities, parents, prescribers, and their patients.

In addition, the SAMHSA will track reductions in opioid overdoses and the incorporation

of Prescription Drug Monitoring Program (PDMP) data into needs assessments and strategic plans as indicators of the program’s success.

PDMPs are state-run databases used to track the prescribing and dispensing of controlled prescription drugs to patients.

They are designed to monitor this information for suspected abuse or diversion (i.e., channeling drugs into illegal use) and can give a prescriber or pharmacist critical information regarding a patient’s controlled substanceprescription history. State applicants must have a fully operational PDMP in order to apply for the SPF-Rx program.

Tribes must coordinate with the state-run PDMPs to identify opportunities for collaboration that will limit overprescribing in tribal communities.3

RECIPIENTS

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■ Cherokee Nation

■ Iowa Tribe of Oklahoma

■ Eastern Shawnee Tribe

■ Seminole Nation

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TRIBAL OPIOID RESPONSE (TOR)

The TOR program aims to address the opioid crisis in tribal communities by increasing access to culturally appropriate and evidence-based treatment, including medication-assisted treatment (MAT), using one of the three FDA-approved medications for the treatment of opioid use disorder (OUD). The intent is to reduce unmet treatment need and opioid overdose related deaths through the provision of prevention, treatment, and/or recovery activities for OUD. The program supplements current activities focused on reducing

the impact of opioids and will contribute to a comprehensive response to the opioid epidemic.

Tribes will use the results of a current needs assessment, if available to the tribe, (or carry out a strategic planning process to conduct needs and capacity assessments) to identify gaps and resources from which to build prevention, treatment, and/ or community-based recovery support services. Grantees will be required to describe how they will expand access to treatment and recovery support services, as well as advance substance

RECIPIENTS ■ Absentee Shawnee Tribe

■ Citizen Potawatomi Nation

■ Cherokee Nation

■ Eastern Shawnee Tribe

■ Cheyenne and Arapaho Tribes

■ Iowa Tribe

■ Chickasaw Nation ■ Choctaw Nation

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■ Kickapoo Tribe of Oklahoma ■ Muscogee Creek Nation ■ Osage Nation

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misuse prevention in coordination with other federally supported efforts. Grantees must use funding to supplement and not supplant existing opioid prevention, treatment, and/or recovery activities. Grantees are required to describe how they will improve retention in care using a chroniccare model or other innovative model that has been shown to improve retention in care.4

■ Pawnee Nation ■ Quapaw Tribe ■ Sac and Fox Nation ■ United Keetowah Cherokee Council ■ Wichita and Affiliated Tribes

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FIRST RESPONDERS/COMPREHENSIVE ADDICTION AND RECOVERY ACT (FR-CARA)

The purpose of this program is to allow first responders and members of other key community sectors to administer a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose. Recipients will train and provide resources to first responders and members of other key community sectors at the state, tribal, and local governmental levels on carrying and administering a drug or device approved or cleared under the Federal Food, Drug, and Cosmetic Act for emergency treatment of known or suspected opioid overdose. Recipients will also

establish processes, protocols, and mechanisms for referral to appropriate treatment and recovery communities, and safety around fentanyl, carfentanil, and other dangerous licit and illicit drugs.

For the purposes of this funding opportunity announcement (FOA), first responders include firefighters, law enforcement officers, paramedics, emergency medical technicians, or other legally organized and recognized volunteer organizations that respond to adverse opioidrelated incidents.5

RECIPIENTS â– Cherokee Nation

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â– Choctaw Nation

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MEDICATION-ASSISTED TREATMENT – PRESCRIPTION DRUG AND OPIOID ADDICTION The purpose of this program is to expand/enhance access to medication-assisted treatment (MAT) services for persons with an opioid use disorder (OUD) seeking or receiving MAT. This program’s focus is on funding organizations and tribes/tribal organizations within states identified as having the highest rates of primary treatment admissions for heroin and opioids per capita and includes those states with the most dramatic increases for heroin and opioids based on the SAMHSA’s 2015 Treatment Episode Data Set (TEDS).

opioid drug use and prescription opioid misuse at a six-month follow-up.

MAT, using one of the FDAapproved medications for the maintenance treatment of opioid use disorder, is a required activity of the program. MAT is to be provided in combination with comprehensive OUD psychosocial services, including, but not limited to counseling, behavioral therapies, recovery support services (RSS), and other clinically appropriate services required for individuals to achieve and maintain abstinence from opioids.6

The desired outcomes include (1) an increase in the number of individuals with OUD receiving MAT (2) a decrease in illicit

RECIPIENTS ■ Cherokee Nation

■ Muscogee Creek Nation

■ Modoc Nation of Oklahoma

■ Osage Nation

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COMMUNITY ACTION NETWORK (CAN)/PRESCRIPTION DRUG PROJECT

The CANN follows an evidence-based methodology known as the Strategic Prevention Framework (SPF) to identify root causes for substance abuse at the community level.

RECIPIENT â– Cherokee Nation

The CAN has evolved since it was established in 2006 under a former SAMHSA SPF-State Incentive Grant.

Currently, CAN is organized as a super-regional substance abuse prevention coalition represented by five strategy workgroups and eleven county coalitions in Northeast Oklahoma.7

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SCREENING BRIEF INTERVENTION REFERRAL TO TREATMENT (SBIRT)

SBIRT is a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as those who are at risk of developing these disorders.

Primary care centers, hospital emergency rooms, trauma centers, and other community settings provide opportunities for early intervention with at-risk substance users before more severe consequences occur.

RECIPIENT ■ Muscogee Creek Nation

■ Screening quickly assesses the severity of substance use and identifies the appropriate level of treatment.

■ Brief intervention focuses on increasing insight and awareness regarding substance use and motivation toward behavioral change.

■ Referral to treatment provides those identified as needing more extensive treatment with access to specialty care.8

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STATE/TRIBAL YOUTH SUICIDE PREVENTION COOPERATIVE AGREEMENTS/PREVENTION AND PUBLIC HEALTH FUND (PPHF)

The purpose of this program is to support states and tribes (including Alaska Villages and urban Indian organizations) in developing and implementing statewide or tribal youth suicide prevention and early intervention strategies. The programs include collaboration among youthserving institutions and agencies and should include schools, educational institutions, juvenile justice systems, foster care systems, substance abuse and mental health programs, and other child and youth-supporting Organizations. These efforts should include both a strong community component and a strong healthsystem component. The ultimate goal of this program is to reduce suicide deaths and non-fatal suicide attempts.9

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RECIPIENTS ■ Choctaw Nation ■ Muscogee Creek Nation ■ Wichita and Affiliated Tribes

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ZERO SUICIDE

The Zero Suicide model is a comprehensive, multi-setting approach to suicide prevention in health systems.

The purpose of this program is to implement suicide prevention and intervention programs for individuals who are 25 years of age or older. The program is designed to raise awareness of suicide, establish referral processes, and improve care and outcomes for such individuals who are at risk for suicide. Grantees will implement the Zero Suicide model throughout their health system. Health systems that do not provide direct-care services may partner with agencies that can implement the Zero Suicide model.

For communities without welldeveloped behavioral health care services, the Zero Suicide model may be implemented in Federally Qualified Health Centers or other primary care settings.10

RECIPIENTS ■ Cherokee Nation ■ Choctaw Nation ■ Lawton Indian Hospital ■ Muscogee Creek Nation

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GARRETT LEE SMITH TRIBAL YOUTH SUICIDE PREVENTION AND EARLY INTERVENTION GRANT PROGRAM

The purpose of this program is to support tribes with implementing youth suicide prevention and early intervention strategies in schools, educational institutions, juvenile justice systems, substance use programs, mental health programs, foster care systems, and other child and youth-serving organizations. It is expected that this program will (1) increase the number of youth-serving organizations who are able to identify and work with youth at risk of suicide; (2) increase the capacity of clinical service providers to assess, manage, and treat youth at risk of suicide; and (3) improve the continuity of care and follow-up of youth identified to be at risk for suicide, including those who have been discharged from emergency department and inpatient psychiatric units.11

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RECIPIENTS ■ Cherokee Nation ■ Choctaw Nation ■ Kiowa Tribe ■ Muscogee Creek Nation ■ Wichita and Affiliated Tribes

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GARRETT LEE SMITH CAMPUS SUICIDE

The purpose of this program is to develop a comprehensive, collaborative, well-coordinated, and evidence-based approach to (1) enhance services for all college students, including those at risk for suicide, depression, serious mental illness, and/or substance use disorders that can lead to school failure; (2) prevent mental and substance use disorders; (3) promote help-seeking behavior and reduce stigma; and (4) improve the identification and treatment of at-risk college students so they can successfully complete their studies. It is expected that this program will reduce the adverse consequences of serious mental illness and substance use disorders, including suicidal behavior, substance-related injuries, and school failure.12

RECIPIENT â– College of the Muscogee Nation

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HIV CAPACITY BUILDING INITIATIVE (HIV CBI)

The HIV CBI program aims to engage community-level domestic public and private non-profit entities, tribes and tribal organizations to prevent and reduce the onset of substance abuse and transmission of HIV/AIDS among at-risk populations ages 13-24, including racial/ ethnic minority youth and young adults.

The SAMHSA is particularly interested in eliciting the

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interest of college and university clinics/wellness centers and community-based providers who can provide comprehensive substance abuse and HIV prevention strategies to reduce the impact of substance use, HIV, and viral hepatitis in high-risk communities. These strategies must combine education and awareness programs, social marketing campaigns, HIV, and viral hepatitis (VH) testing services in non-traditional settings with substance

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abuse and HIV prevention programming for the population of focus.

HIV CBI is one of the Center for Substance Abuse Prevention’s Minority AIDS Initiative (MAI) programs. The purpose of the MAI is to provide substance abuse and HIV/VH prevention services to at-risk minority populations in communities disproportionately affected by HIV/AIDS.13

RECIPIENT ■ National Indian Women’s Health Resource Center

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TARGETED CAPACITY EXPANSION-HIV PROGRAM: SUBSTANCE USE DISORDER TREATMENT FOR RACIAL/ETHNIC MINORITY POPULATIONS AT HIGH RISK FOR HIV/AIDS (TCE-HIV: HIGH-RISK POPULATIONS)

The purpose of this program is to increase engagement in care for racial and ethnic minority individuals with substance use disorders (SUD) and/or cooccurring substance use and mental disorders (COD) who are at risk for HIV or HIV positive and receive HIV services/ treatment. The program also aims to contribute to the nation’s achievement of the 90-90-90 goals regarding HIV status and treatment.

This cooperative agreement will support the following activities:

linkage to care for racial and ethnic minority individuals with SUD and/or COD-treatment needs, who are HIV positive or at high risk for HIV, including SUD and/or COD-treatment and recovery support services; HIV/AIDS testing and case management services, including linkage and provision of HIV care and treatment; hepatitis testing, vaccination, and referral/ linkage for treatment and case management; housing support services; outreach; and enhancement and expansion of infrastructure and capacity to

RECIPIENT ■ Muscogee Creek Nation

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retain clients in SUD/COD and HIV/AIDS care.

The expected outcomes for the program include increasing the number of individuals with SUD/COD who are HIV positive that are on antiretroviral therapy (ART) and linked to HIV care, reducing the impact of behavioral health problems, reducing HIV risk and incidence, reducing trauma-related conditions, and increasing access to and retention in treatment for individuals with co-existing behavioral health,

HIV, and hepatitis conditions.

This program will ensure that individuals who have been diagnosed with a SUD and/or COD and who are HIV positive or most at risk for HIV/AIDS have access to and receive appropriate behavioral health services. Cooperative agreement funds must be used to serve people diagnosed with a SUD as their primary condition.14

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STATE YOUTH TREATMENT-PLANNING (SYT-P) The purpose of the SYT-P is to provide funding to states/ territories/tribes to develop a comprehensive strategic plan in order to improve treatment for adolescents (ages 12-18) and/or transitional aged youth (ages 16-25) with substance use disorders (SUD) and/ or co-occurring substance use and mental disorders.

The plan will help to assure that youth have access to evidence-based assessments and treatment models, as well as recovery services by strengthening the existing infrastructure system.

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The SYT-P is designed to bring together stakeholders across the systems serving adolescents and transitional aged youth to plan for a coordinated state-wide network to develop policies, expand workforce capacity, disseminate evidencebased practices (EBPs), and implement financial mechanisms and other reforms. The aim is to improve the integration and efficiency of the treatment and recovery support system serving the population of focus. The SYT-P seeks to address

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behavioral health disparities among racial and ethnic minorities by encouraging the implementation of strategies to decrease the differences in access, service use, and outcomes among the racial and ethnic minority populations served.15

RECIPIENT â– Kickapoo Tribe of Oklahoma

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STATE YOUTH TREATMENTIMPLEMENTATION (SYT-I) The purpose of this program is to provide funding to states/ territories/tribes to improve treatment for adolescents and/or transitional aged youth with substance use disorders (SUD) and/or cooccurring substance use and mental disorders by assuring youth state-wide access to evidence-based assessments, treatment models, and recovery services supported by the strengthening of the existing infrastructure system.

The SYT-I is a combination of infrastructure improvement and direct treatment service

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delivery. This grant is designed to bring together stakeholders across the system serving the population of focus.

The goal is to strengthen an existing, coordinated network that will enhance/ expand treatment services, develop policies, expand workforce capacity, disseminate evidence-based practices, and implement financial mechanisms and other reforms to improve the integration and efficiency of substance use disorders treatment and recovery support system.

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This system will serve as a model throughout the state to be replicated. The expected client-level outcomes of the program include increased rates of abstinence; enrollment in education, vocational training, and/or employment; social connectedness; and decreased criminal and juvenile justice involvement for the population of focus. Grantees will be expected to identify and decrease differences in access, service use, and outcomes of services among the adolescent and transitional aged youth populations who are vulnerable to health disparities. 16

RECIPIENT â– Kickapoo Tribe of Oklahoma

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ENHANCEMENT AND EXPANSION OF TREATMENT AND RECOVERY SERVICES FOR ADOLESCENTS, TRANSITIONAL AGED YOUTH, AND THEIR FAMILIES (YOUTH AND FAMILY TREE)

The focus of the program is adolescents and/or transitional aged youth and their families/ primary caregivers with substance use disorders (SUD) and/or co-occurring substance use and mental disorders (hereafter known as “the population of focus�). Based on need and identification of traditionally underserved populations, applicants may choose to provide services to adolescents and their families/ primary caregivers, transitional aged youth and their families/ primary caregivers, or both populations and their families/ primary caregivers. Applicants

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that select transitional aged youth may choose a subset of this population of focus (e.g., ages 16-18, ages 18-21, ages 21-25). Applicants will be expected to identify and reduce differences in access, service use, and outcomes of services among females and racial and ethnic minority populations to address health disparities.

The SAMHSA recognizes that effective and quality treatment for adolescent and transitional aged youth includes developmentally and ageappropriate evidence-based assessments and practices.

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In addition, the SAMHSA recognizes that family/primary caregiver involvement in the adolescent and transitional aged youth’s treatment is a key factor in effective treatment and recovery programs. The recipient will be expected to provide a coordinated, multi-system, family-centered approach that will enhance and expand comprehensive evidence-based treatment, including early intervention, and recovery support services to the population of focus.17

RECIPIENT ■ Osage Nation

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DRUG-FREE COMMUNITIES (DFC)

The Drug-Free Communities (DFC) Support Program was created by the Drug-Free Communities (DFC) Act of 1997.

The DFC Mentoring Program was also included in the Office of National Drug Control Policy Reauthorization Act of 2006.

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Support Program and be fully prepared to compete for a DFC grant on their own. Recipients will be expected to achieve this by meeting the following goals: 1. Strengthen the Mentee coalition’s organizational structure.

The purpose of the DFC-M Program is to assist newly forming coalitions in becoming eligible to apply for DFC funding on their own.

2. Increase the Mentee coalition’s leadership and community readiness to address youth* substance use problems in the Mentee community.

It is the intent of the DFC-M Program that, at the end of the Mentoring grant, each Mentee coalition will meet all of the statutory eligibility requirements of the DFC

3. Assist the Mentee coalition in working through a strategic planning process that will result in a comprehensive action plan.

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*For the purposes of this Funding Opportunity Announcement (FOA), “youth” is defined as individuals 18 years of age and younger.

RECIPIENTS ■ Cherokee Nation ■ Osage Nation

The DFC-M Program is a collaborative effort directed by the Office of National Drug Control Policy (ONDCP) in collaboration with the Department of Health and Human Services (HHS), the SAMHSA, Center for Substance Abuse Prevention (CSAP). This announcement addresses Healthy People 2020 Substance Abuse Topic Area HP 2020-SA.18

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LINKING ACTIONS FOR UNMET NEEDS IN CHILDREN’S HEALTH IN AMERICAN INDIAN AND ALASKA NATIVE COMMUNITIES, U.S. TERRITORIES, AND PACIFIC JURISDICTIONS COOPERATIVE AGREEMENTS (INDIGENOUS PROJECT LAUNCH)

The purpose of this program is to promote the wellness of young children from birth to eight years within tribes, territories, and Pacific Island jurisdictions by addressing the physical, social, emotional, cognitive, and behavioral aspects of their development. The goal of Project LAUNCH is for children to be thriving in safe, supportive environments and entering school ready to learn and able to succeed.

have demonstrated the need for resources devoted to early childhood systems and prevention and promotion practices in tribal and territorial communities. Tribal and territorial grantees have also provided evidence of positive impacts on young children and families when resources are focused on early childhood wellness in a culturally appropriate and strengths-based manner.19

This funding opportunity builds on the success of previous cohorts of Project LAUNCH grantees. Previously funded tribal and territorial grantees

RECIPIENT ■ Chickasaw Nation

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NATIONAL CHILD TRAUMATIC STRESS INITIATIVE (NCTSI) – CATEGORY III COMMUNITY TREATMENT AND SERVICES (CTS) CENTERS

The overall goal of the program is to improve the quality of trauma treatment and services for children, adolescents, and their families who experience or witness traumatic events; and to increase access to effective trauma-focused treatment and services for children and adolescents throughout the nation.

The work of this initiative is carried out by a national network of Grantees – the National Child Traumatic Stress Network (NCTSN). The NCTSN works collaboratively to develop and promote effective trauma-treatment, services, and

other resources for children, adolescents, and families exposed to an array of traumatic events. The NCTSN members collaborate with one another and partner with systems of care where children, adolescents, and families who have experienced trauma receive services in their communities.

The NCTSI program seeks to address behavioral health disparities among racial and ethnic minorities by encouraging the implementation of strategies to decrease the differences in access, service use, and outcomes among the racial and ethnic minority populations served.

RECIPIENT ■ Muscogee Creek Nation

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Children of deployed military personnel have more school-, family-, and peer-related emotional difficulties in comparison to national samples. Therefore, the SAMHSA has identified military families as a priority population under this funding opportunity.20

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REFERENCES

1. Congressional Research Service, Behavioral Health Among American Indian and Alaskan Natives: An Overview. Retrieved 5/2/2016 from: https://fas.org/sgp/crs/misc/R44634.pdf 2. Substance Abuse and Mental Health Services Administration, SAMHSA is announcing the availability of up to $230 million for Strategic Prevention Framework Partnerships for Success grant program. Retrieved 5/2/2019 from: https://www.samhsa.gov/newsroom/pressannouncements/201805231100 3. Substance Abuse and Mental Health Services Administration, Strategic Prevention Framework for Prescription Drugs. Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/sp-16-006 4. Substance Abuse and Mental Health Services Administration, Tribal Opioid Response Grants. Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/ti-18-016

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5. Substance Abuse and Mental Health Services Administration, First Responders-Comprehensive Addiction and Recovery Act. Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/ti-19-004 6. Substance Abuse and Mental Health Services Administration, Targeted Capacity Expansion: Medication Assisted TreatmentPrescription Drug and Opioid Addiction. Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/ti-18-009 7. Think Smart Oklahoma, Our Partners. Community Action Network. Retrieved 5/2/2019 from: https://www.thinksmartok.org/our-partners 8. Substance Abuse and Mental Health Services Administration, About Screening, Brief Intervention, and Referral to Treatment (SBIRT). Retrieved 5/2/2019 from: https://www.samhsa.gov/sbirt/about

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REFERENCES

9. Substance Abuse and Mental Health Services Administration, PPHF-2015 Cooperative Agreements for State-Sponsored Youth Suicide Prevention and Early Intervention (PPHF 2015). Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/sm-15-004 10. Substance Abuse and Mental Health Services Administration, Grants to Implement Zero Suicide in Health Systems. Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/sm-20-015 11. Substance Abuse and Mental Health Services Administration, Garrett Lee Smith (GLS)/Tribal Youth Suicide prevention and Early Intervention Grant Program. Retrieved 5/2/2019 from https://www.samhsa.gov/grants/grant-announcements/sm-19-006 12. Substance Abuse and Mental Health Services Administration, Garrett Lee Smith (GLS)/Campus Suicide Prevention Grant.

Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/sm-18-003

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13. Substance Abuse and Mental Health Services Administration, Capacity Building Initiative for Substance Abuse (SA) and HIV Prevention Services for At-Risk Racial/Ethnic Minority Youth and Young Adults. Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/sp-16-004 14. Substance Abuse and Mental Health Services Administration, Targeted Capacity Expansion-HIV Program: Substance Use Disorder Treatment for Racial/Ethnic Minority Populations at High Risk for HIV/AIDS. Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/ti-17-011 15. Substance Abuse and Mental Health Services Administration, Cooperative Agreements for State Adolescent and Transitional Aged youth Treatment Enhancement and Dissemination Implementation.

Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/ti-15-005

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REFERENCES

16. Substance Abuse and Mental Health Services Administration, Coopertative Agreements for State Adolescent and Transitional Aged youth Treatment Enhancement and Dissemination Implementation. Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/ti-15-004 17. Substance Abuse and Mental Health Services Administration, Enhancement and Expansion of Treatment and Recovery Services for Adolescents, Transitional Aged Youth, and thier Families.

Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/ti-18-010 18. Substance Abuse and Mental Health Services Administration, Drug-Free Communities Mentoring Program. Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/sp-18-004

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19. Substance Abuse and Mental Health Services Administration, Linking Actions for Unmet Needs in Children’s Health in American Indian and Alaskan Native Communities, U.S. Territories, and Pacific Jurisdictions Cooperative Agreements. Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/sm-17-004 20. Substance Abuse and Mental Health Services Administration, National Child Traumatic Stress Initiative- Category III Community Treatment and Services (CTS) Centers. Retrieved 5/2/2019 from: https://www.samhsa.gov/grants/grant-announcements/sm-16-005

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This report is funded by the Southern Plains Tribal Health Board Oklahoma Area Tribal Epidemiology Center’s cooperative agreement with Indian Health Service U1B1IHS0009 and with the Centers for Disease Control and Prevention (CDC) 6NU58DP006388-02-03.

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